Modified Epley Manoeuver - vestibular syndrome

Re: Modified Epley Manoeuver - vestibular syndrome

Sammy82 — Tue, 09 Sep 2014 22:37:11 GMT

Unfortunately I can not access the article, but from personal experience I can say that I would definitely bite the therapist if I was a dog, not knowing what was happening and that it is supposed to help. If it is done correctly, and it is successful, it makes you feel even more aweful than you already are. Only for ca 30 sec during each step, during which the nystagmus gets really bad before it calms down again.

As a human you know that you have to soldier through it as you will feel better afterwards. A dog doesn't know and probably would try to get up. The manouvre also requires very sudden movements which requires to be relaxed and allowing the therapist to move you., I doubt that a concious dog, even the calmest labrador, would allow it.

Does it work under sedation?

Re: Modified Epley Manoeuver - vestibular syndrome

Mark Hedberg — Tue, 09 Sep 2014 11:56:27 GMT

I forgot I had RCVS Knowledge membership; i've had a chance to look at the article. It looks interesting, I don't deny that; my concern would be some of the positions the therapist needs to take may lead them to risk of dog bite if the patient is worried, nervous, or panicky. Also there is nothing in the paper that I saw on success rates. The procedure was done on 12 patients, but how many of them improved? "Most dogs" improved according to the conclusion, but that's a little vague for my tastes.

Re: Modified Epley Manoeuver - vestibular syndrome

Mark Hedberg — Tue, 09 Sep 2014 09:27:03 GMT

I've heard of this used in humans - never tried it in animals. If it works as well as it does in humans (I can't access the full article) then it might be a solid step forward!